Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366591273 Individual Practitioner Male Practitioner

Dr. Daryl L. Johnson , DMD

Dentist - General Practice • Molalla, OR

Professional Overview & Biography Verified Profile Summary

Dr. Daryl Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Molalla, OR. Practice services are available at 128 ROSS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

128 Ross St

Molalla, OR 970389390

Telephone 5038297677
Fax 5038293398
Associated Practice Facility / Clinic
🏢 Molalla Family Dental, Pc Facility NPI 1023274198

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Molalla, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Molalla, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D6951

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
D6951 (OR)
Commercial Insurance / Payer ID Fein
93-1306543 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Kenneth Willeford , DMD

Dentist - General Practice

NPI 1184624967

Doctor of Dental Medicine

Dr. William Melby , DMD

Dentist - General Practice

NPI 1225036965

Doctor of Dental Medicine

Dr. Paul Baumgartner , DDS

Dentist - General Practice

NPI 1740282599

Doctor of Dental Surgery

Dr. Marianna Mclean , DMD

Dentist - General Practice

NPI 1922006683

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2010

Registered at 128 ROSS ST, MOLALLA, OR 970389390 (Tel: 5038297677)

📍
Updated Business Mailing Address August 24, 2010

Registered at PO BOX 390, MOLALLA, OR 970380390 (Tel: 5038297677)

👤
Provider Name / Credentials Updated August 24, 2010

Recorded as DARYL JOHNSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Dentist (License #D6951 in OR)

🟢
Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366591273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: August 24, 2010
Sole Proprietor: No

Mailing Address

Po Box 390

Molalla, OR 970380390

Phone: 5038297677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.